Individual
MRS. SUSAN M FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1207
GA
Other
Enumeration date
10/01/2008
Last updated
02/12/2013
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